NPIMap

Organization Active NPI

Optum Behavioral Care of Ohio, Inc

Doing business as Affirmations Psychological Services of Ohio

  • Counseling Psychologist
  • Columbus, OH
National Provider Identifier
1952177644
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
OPTUM BEHAVIORAL CARE OF OHIO, INC
Doing business as
Affirmations Psychological Services of Ohio
Practice address
620 E Broad St Ste 301
Columbus, OH 43215-4037
Phone
(614) 674-6076
Fax
(614) 674-6076
NPI assigned
Dec 4, 2023
Last updated
May 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kerry Biscornet
Title
Secretary
Phone
(608) 854-2929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X NU Primary

Addresses

Primary practice location

620 E Broad St Ste 301
Columbus, OH 43215-4037

Mailing address

11000 Optum Cir
Eden Prairie, MN 55344-2503

Other practice location 1

1020 Dennison Ave Ste 101
Columbus, OH 43201-3497
Phone (614) 674-6076

Other practice location 2

775 W Broad St Ste 220
Columbus, OH 43222-1471
Phone (614) 674-6076

Other names 1

  • Affirmations Psychological Services of Ohio Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240404004119 OH Part B Supplier - Clinic/Group Practice 7719325083 Receives reassigned benefits from 65 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Toledo, OH; Westerville, OH; Perrysburg, OH; Mason, OH; Marysville, OH; Marion, OH; Lancaster, OH; Dublin, OH…

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Optum Behavioral Care of Ohio Inc19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

1020 Dennison Ave
Ste 101
Columbus, OH 43201
Phone (614) 233-1175

4624 Sawmill Rd
Columbus, OH 43220
Phone (614) 456-4490

18077 State Route 31
Marysville, OH 43040
Phone (614) 766-0161

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1952177644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 OPTUM CIR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E BROAD ST STE 301",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154037",
            "telephone_number": "614-674-6076",
            "fax_number": "614-674-6076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 Dennison Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432013497",
            "country_code": "US",
            "telephone_number": "614-674-6076",
            "fax_number": "614-745-3344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "775 W Broad St Ste 220",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432221471",
            "country_code": "US",
            "telephone_number": "614-674-6076",
            "fax_number": "614-745-3344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTUM BEHAVIORAL CARE OF OHIO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "BISCORNET",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "608-854-2929"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affirmations Psychological Services of Ohio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.